The URL can be used to link to this page

Home My WebLink About14729-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~IENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17866 Date MARCH 21~ 1989 THIS CERTIFIES that the building Location of Property 29823 MAIN ROAD House No. County Tax Map No. 1000 Section 014 Subdivision ONE FAMILY DWELLING ORIENT~ N.Y. Street Hamlet Block 2 Lot 1.10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1986 pursuant to which Building Permit No. 14729-Z dated APRIL 3, 1986 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS AS APPLIED FOR The certificate is issued to ERNEST & MATILDA TAtAMIN (owners) of the aforesaid building. SUFFOLK COUNter DEPARTMENT OF HEALTH APPROVAL JAN. 22, 1988-14-SO-51 UNDERWRITERS CERTIFICATE NO. N-013412-MAY 20, 1988 PLUMBERS CERTIFICATION DATED JAN. 8~ 1988-MATTITUCK PLUMBING & HEATING Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14729 Permission is hereby gronted to: ..... ........... ..~.'.~.....~...~.....%..t.~.~.~...~ ~ ' .-~,~* **ZTP~ ~: ~ .5° ,.~ . . o, premises Iocoted at ~j'~'.~q~''~''Lt~.?~'.~j~'~.~.~:~.~.~.~G~)~j`~c~`'/`~`~.~ ....... -~)..~ ....... County Tax Mop No. 1000 Section .... ,.~,..!...~'. ......... Block ..... .~..,~, ........Lot No ...... 1.?.),.,0,. ........ to application dated ..... ~....~ ......................... , 19.~..~.., and approved by the pursuant f~uildlng Inspector. Building Inspector Rev. 6/30/80 FORM NO, S TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 13016 Z .~,-,.~.=.;. ........... Permission is hereby granted to: !..~...:~~.~ .............................. ~ I c~....~¼ ..... ~ ........ ~ ................. ,o..~~~ ...... ~ ............... ....~~.....u..~.~ ................. ...~~.. at premises located at ....~....~.....~k.?.....~........~....:..%.L..~..: ....... ..~....~..~........~/~)...~f...?.n......~.,..~ County Tax Map No. 1000 Section ...... .(~.~..~. ...... Block ....~....~;;.. .......... Lot No....~l.J..~ ...... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. Cee ,...~..0..'...~. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,,, ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 ].Cer~ificateofoccuDancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date November 7, 1988 New C on s t r u c t i on Old or Pre-existing Buildh]g Vacant Land Location of Property .~.ai'n R,O.a.~, Orient, New York Hou~ No. Street Hamlet Ernest and Matilda Tarmin Owner or Owners of Property .............................................. 1ODDS ?? i-1° Coun ax Map No. ection.. ........... Block ... ........... Lot.. .......... .. Subdivision........*...................whitc°m Investment Co. . .... Filed Map No ........... Lot No .............. 2. 7.2, f./.3/ff Appli Ernest and Matilda Tarmin Permit No. 4 9 Date of Permit cant ............ Health Dept Approval 1,4-$0-.51 Labor Dept Approval U d it rsApp I 1oo1o71 ~' ' B d App al n erwr e rova ........................ ylanmng oar rov ....... Request for Temporary Certificate ..................... Final Certificate . . .x. Fee Submitted $ 25. Construction on above described building and permi~eets,///, all appli~,~a~le cod//~__ es and regulations. Rev. I0-10-78 TOWN OF $OUTI5OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner (please print) Plumbe~[~ ? ~_ (pl e ~-~ e p r ~-~t ) I certify that the solder used in the water.supply system contains less than 2/10 of l%'lead. Sworn to before me .this ~&'~day of ~c~/ _,. Notary Public, S~ol~ County Notary Public ~ ~ ~'~,/~s '.- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~--- MAY ,=0, t988 ES JOHN STREET. NEW YORK. N.I~ Y.QR~Op3B Appl~ation No. on file THIS CERTIFIES THAT mdy the ebc.~e~ ~u~me=r ~ ~H~ ~ .~ i~t~ by t~ ~nt ~M on t~ a~ ~g~ numar ~ t~ ~m~s o/ in t~ fotlo~ing t~u~;[ ~ .~tlon Bilk ~ ~ u ~nt Ist FI. 2nd ~. ~ examln~ on and found ~o be in complionce u*ith the r~ui~menls of th~ B~rd. 157 ~ 80 1~7 ffI;QDISCOfqlNK"T S E R V I C E 5 TON A,C.ON[TS-2 ~[R f}]%ND1,ER S- 3 ]0AM~) DISPOSAh UN13-1 P~N~II~BOARD5:~-]O CIR. 150 SMOKE DETECTO~ :-2 q~ACK SOtJTHOLD, NY ~ l lq'?] 2t0 Per '~ j 1'hi, ¢erl;fi;ate rom! not be altered in =~y monner; retorn to the office of the 8oard if in¢orrxt Inspectors may be identified by their credenti=l*. COPY. FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MANNER. I~SP ECTION COMMENTS FOUNDATION ( 1 s t) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~SULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR BUILDING DEPT, INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []iNSULATION FRAMING []FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ J/~SULATION FRAMING [/~/FINAL ~ REMARKS: ~ DATE' ~)/D-//~' I *SPECTOR~~'~/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ;ZND [ ] INSULATION FRAMING [ ] FINAL DATE ~INSPECTOR ~~_~ ca TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE'ihat your application dated ............ .~... ,~.... ~ /,~. ...... t9 .~ ,~.. ,'or peru,it to construct...~..~-W~ ............................................. at County Tax Map No. 1000 S~¢tion . .'...~.t. ~ ..... Block ..... ~. ~ ..... 1,o~ .. }: .I.~ ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds . ~~~. ~ .... ..~.~ ..... , .... ~..,...~:: ....... : ....... &.~~ Bmhliag Inspector ,! VAPa~$ ~OOND ~SANF. 3TA\R.% TyPI$^L_ 3~.CTI0 N ~'. R FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined. ~. ~ .... , 19 .~.~. Approved. ...~...., 19 ?.(0. Permit No..]..]..~..~.~ .~. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises [u~d in building for necessary inspections. (Signature of applicant, or name, if a corporation) .,z...e.-a...l (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, Name of owner of premises .., E/~ d~.~.../~... ~.~.[~)/~,..~..J~/~ [~. .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ...... , ................. Other Trade s License No ...................... I. Location of land on which proposed work will be done .................................................. ......... .?...o.: ~.. ..... .~ .~.,.....~, .o~..',. ~..a .......... O. ~ ............................ House Number Street Hamlet County Tax Map No. 1000 Section O I./J Block .C~..~. Lot J · / Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....[-). ~ .%.~..~...~. .................................................. b. Intended use and occupancy .~ qt_.'.%_~... ~ ...~'~.~o~-t.t._t..~.7 ............................ Nature of work (check which applicable): New Building .......... Addition... Repair .............. Removal .............. Demolition ............ ..... Alteration .......... Other Work ............... (Description) 4. Estimated Cost ...................................... Fee (to be paid on fihng this appheat~on) 5. If dwelling, number of dwelling units ............... Number of dwelling units ,on each floor ................. If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each typel of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ ~ ...... Depth ............... Height ............... Number of Stories ............................. ! ........................... Dimensions of same structure with alterations or additions: Front ............. .i .... Rear .................. Depth Height Number of S'tories 8. Dimensions of entire new construction: Front Rear : Depth Height ............... Number of Stories ............................. i .......................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner . .r .......................... 11 Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... i .......................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Nmne of Owner of premises .................... Address ................ i". Phone No.~[/.~. Name of Architect ........................... Address ................ i. · · Phone No ................ Name of Contractor .......................... Address ................ I... Phone No.. ,~q~...., ....... 15. Is this property located withinl.00 feet of a tidal wetland? * ~es ..... No .~.'~.. · If yes, Southold Town Trustees PermiS~DIAGRAMbe required. Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block number or description aecor3ing to deed, an~l's}ioW street names and indicate whether interior or corner lot. COU~Y OF,,~..~.. S.S . .............................................. bemg duly sworn, depgses and says that he is the applicant (Name of individual signing contract) above named. He is the ...................................... ; ............................ (Contractor, agent, corporate officer, etc.? of said owner or owners, and is duly authorized to perform or have performed the Raid work and to make and file this application;that all statements contained in this application are true to the best of hts knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. ,19 . .... ~ (Signature of applicant) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~3~-.~.. )l ..... 19~,~1. Permit No % 0 t[e ~ Disapproved a/c ..................................... Received...91.5 .... , '~9.~~. / (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit· d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work· e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~,~inspection_s. · ..... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~./~.~.~..~, ?.....~...~../.X/...~..~.~..../~...~..X'./.~..~.~.....~.~..~,/~. !..~. .................... i~0 (as on the tax roll or latest deed) co~/~g~ure of duly authorized officer. ..... e and title of corporate officer) Builder's License No .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Yrade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ~...Qf.q... Block., .0.~, ........... Lot..~......../*/c~ ".. ' " ........ . .~/. (r',~.C~°../~.[/, .~'4>,. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupaficy of proposed construction: a. Existing use and occupancy . ~¢~./r b. Intended use and occupancy ............ ~'/~.~.~ 3. Nature of work (check which appl'icable) New Building .... Addition .......... Alteration .......... Repair Removal .............. Demolition ............ Other Work ............... . ; (Description) .....o.. ................ 4. Estimated Cost ...... *~.'~.':~: Fee : ~" (to be paid on filing this application) J - 5. If dwelling, number of dwelling ufiits ............... Number of dwelling units on each floor ............... If garage number of cars 6. If business, commercial or mixed °ccupancy , specffy nature and extent of each type of use ..................... 7. Dimensions of existing structures' if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ....................... ! ...................... ~ .......... ~imensionstof same structure wit~ alterations or additions: Front ... ~.~...e..~.. Rear ... ~.6...~.~. · .~... ( Depth .~.. '~. ~.~('..e~g. ......... i. Height,..;~l~ .~ ............... Number of Stories...;~,~..~,~/11~/t2~'$. ~mensions of ent!re,aew constrUctian: Front ............... Rear ............... Depth ............... Height . :'7:Z... ..... :Number of Stories ...................................................... 9. Size of lot: Front . .~d. ~.~.S.. ~ .......... Rear.. (~.~t.~..~ ........... _ Depth /.~. ,~. ff. ~;~' .......... 10. Date of Purchase ,..~.~/~..~,i ................ 11. Zone or use district in which prefnises are situated.. ['f~'~'.~'~4r~t~'~, .................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ...4q/.O .............. --- · · · ...---x 13. Will lot be regraded . )~/~.....~,. ,.. "~,4 ........... Will excess fill be removed from premises: yes N~ Ntune of Architect ~..~,~.../~../~;~.~l~t~ .......... Address ~..~'~v.t~'.r~..~,.'.M.,~:. Phone No. : .. Name of Contractor .~.d..Ogt~t~.t~$Dl~J,O~.'. ~.,Address~.~.~...~..a~, ~..~.)~.... Phone No.~.~. PLOT DIAGRAM Locate clearly and distinctly all l buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. t~,,~ ~4~ .o~t~r,- /0,0o STATE OF NEW YO~_K,r-r---, COUNTY i l ....... ~ kfi.Y, l ~ ...... ~ ~. & ~./ ......... being duly sworn, deposes and says that he is the applicant ~(Name of individual signing contract) above named. He is the .................... '~ ....... W~ ..................................................... ~' ~on[rac[~r, agent, corporate officer, etc.) ' of said owner or ownen, ~d is d~ly a~h~erfom or have perfomed the said work and to m~e ~d file ~is application; that ~1 statements contained ~ this application am true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~er set forth in the application filed therewith. Sworn to before me this No~ Public ................ .... :... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-180;3 Received ........... ,19.. · Disapproved a/c .............................. /v ...... gl,q~ .... ~ding Ifispe~t~i ..... ;'' ~ 1.~ APPLICATION FOR BUILDING PERMIT Date .../~ ...../....f..~. ....,19.?.~ INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ,, ......... (Signature of applicant, or name, if a corporation) ~Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·..~.~.~.~ .~Y~.~. T .................................................................................. Name of owner of premise, s .~...r~-,~4..~...~.'r..~ ?~..~'.'r!~.'~..'~..~'.~..~. ! .~ .......................................... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No.~TJ.~ ~..~.~.~..~mc~.~---m~.T.~.~_p... Electrician's License No ....................... Other Trade's License No ...................... / Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section . ...oj .~. ........... Block .... .o...~. ......... Lot I. I c> Subdivision .~)¥??.~..¢ .~t-~q.~.~!o.4 ?o.~ ~.urr. r,,~,6 I~.~.. ~ .... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....~--~...~.T...L~..~?? ..... '~'~' '~"' ' ' '~':' '/'~' 'O'"~'~ ..... .'.~..;.~.';~i iiiiii b. Intended use and occupancy . .~,',o..L~.~...c~...~..~..~.¥...l~.~,~t~/O,~-I~ .... ~ .,,~._/.~.. 3. Nature of work (check which applicable): New Building... ... Addition .,..........~ Alteration ,.... .. ~, ...~ Repair .............. Removal .............. Demolition .......... i .... Other Work,. ...... ~ ....... ' ~'~v.~ "-"' g~..~t~.~...~.'~ ~ (Description) 4. Estimated Cost . .~.i~...~...?.o.~. Fee .tV'..q. ' .L~. ~.. ' '~ (to b~ paid on filing this application) 5. If dwelling, number of dwelling units...°~.~...($.~. ... .. Number of dwelling u~its on each floor ...... : ...... ... If garage, number of cars ....'77.,.4 ~. ( .~'.~ ............................ ; ............... ' .... ; ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each tgpe of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ..... 2 ........ Depth ..... ! ........ Height ............... Number of Stories .......................... ! ............................ Dimensions of same structure with alterations or additions: Front .......... i ...... Rear ................. Depth ................ Height ...................... Number ?f Stories ..................... 8. Dimensions of entire new construction: Front . .~5~. '.- .~'~ ......~,ea,~> -, .,.'~1. M~"..~. !,*.....~ t... Depth . .'~..~. '.? .*.?.~¢..~. Height ......... .%I'-P'.' Number of' Stories ....... :~...fig,. ..............i ............................ 9. Size of lot: Front . .~..!.e4...o.~. ~ ..... ~r ~4 ~o ~,-e i r~o.,+~ ,~.~.,4 .~'o~ ~ 10. Date of Purchase ..~..r~..q,..Lq.~.'$ ............... NameofFormerOwneri.~.~).-r.~q..v~..}~Y~'r..~.~..~T.~-.o. ..... 11. Zone or use distri~,t in which premises are situated....'~..G.'~.}.?~.NX'...u%-. ..... J ............................. 12. Does proposed co~ttruction violate any zoning law, ordinance or regulation: ...~.e.? ................. .......... 13. Will lot be regraded ....~. ....................... Will excess fill be re.moved from premises: Yes 14. Name of Owner of premises .I~..~..r~.'..?.~.~L~. ..... Address N-Yd...~e~A~...~. ~ .NI. ~ ..... Phone No..~..q..~...~1,~! ..... Name of Architect .l~..~..rq...~...?~...r~....&~..~-~..~. .... Address .v'/l~...~...~...a~., .~T~.... Phone No. ?.q.?'...4J:~e~... .... Name of Contractor .......................... Address ............. i .....Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. // L STATE OF' NEW YORK, ..... .~-~*a~. ~.... ~ ................ being duly sworn, deposes and says that he is tile applicant (Name of individual signing contract) above named. (Contractor, agent, .co¢orate officer, et&) of s~id pw0er or owners, ~d is duly authorized to perform o~ have perfomed the~ said work and to m~e ~d file ~is apphcatlon; that all statements contained ~ this application are true to the best of his knowledge and belief; and that work will b~ perfo~ed in the m~ner set forth ~ the application filed therewith. ~ ~ . the Sworn to b~fore me this ......... : ............ day of. · ..... ,19. Notaw Public, ............. County 15LAND LONG souND ~ . .o ~,o ~° ''~ ;'It should be noted that sln~ this property is ~iocated in an agriculturo~ areo, the possibiDy exists that the wat%r, supply . may contain trac~ ~mo~ht~ of pes. tmL~ps aqdJor ~itrates, Spec_ al ~nalysls 1~;14., required,~ EXCAVATION INSPECTION: REQUIRED ONIy SUPFOLK COUNTY DEPARTMENT OF HEALTH FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEPARTMENT-DATA FOR ~P~ · TO CONSTRUCT . SWF co. TAX~P mET/~o SECTmH a~= .COCK ~ .mE~ ARE ~ ~LLIml WITHIN I00 FEET OF THIS PROPERTY ~HER THAN THOSE SHO~N HEREON. NO r~ ~ /NWSrM~Nr V~Nr ' now or formerly WMtcom investment SURVEY FOR ERNEST TARMIN ~ MATILDA AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK TARMIN N UHAUTHORIZED ALTERATION OR AODITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW NCOPIES OF THIS SURVEY NOT KARIHG THE LAND SURVEYOR*S INKED SEAL OR EMBOSSED SEAL SHALL NOT SE CONSIDERED TO BE A VALID TRUE COPY NGUARANTEES INDICATED HEREON SHALL. RUN ONLY TO THE PERSON FOR WHOM THE SUI~/EY tS PREPARED AND DN HIS BEHALF TO THE TITLE COMP~Yt GOVENN- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON~ AND TO THE A~SIONEES OF THE LENDING INSTITUTION. OUARANTEI~S ARE NOT TR&NGFERABLE TO AOOITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS #DISTANCES SHOWN HEREON FROM PROPERTY LINES TOEXISTIflG STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO DE USED TO ESTABLISH pROPERTY LINES OR FOR THE ERECTION OF FENCES OUNG m11 LA.D SURVEYO...Y.S. UCE.SE & · HOWARD W. YOUNG, LAND SURVEYOR ~' lib N,Y.S. LICENSE N0.4§89:~ DATE: /l,fA~. /,~,/~84 SCALE: /" -- 200 ' NO. 8.4 - 23~ 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK ALDEN W, YOUNG, PROFESSIONAL ENGINEER A~D LAND SURVEYOR N.Y.S. UCENSE NO. 12845, sOUND SU~Y FOR ~WN ~ SOUTHOLD SCALE= I" = 200' SUFFOLK COUNTY, NEW ~RK NO. HEAL~ DEPAR~MENT-OATA FOR APPROVAL TO C~STRUCT AHO ~'HIS ~B~HALF ~ THE ~T~ C~Y, GOV~N- ~.~FCO, T~MA~SECTI~0/~ B~CK ~OT ~/~ H~AN~ TO ~E ASSIGH~S OF Tile LENDING OTHER~TflAH THo~E SHOWN HEREON. ~0 A~;T~AL INSTIT~I~S OR SUBSEQUENT ..... : "" YOUNG 6 YOUNG ALDEN W ~UNG, PROFE~IONAL ENGtNEER /~Y;;~ ~ ' ~oW~Ro W, YOUHG,r LANO SURVEYOR ~ ME ~ FIELD ~TI~S ~D OR DATA OBT~NEO FR~ OTHERS TELEDYI~E I'OST N o ] 77..~ ; L LONG iSLAND U ,FOLK COUNTY DEPkRTMEm OF __,.S~G[E F~MI~Y DWELLING ~LY k~ca~;on h~ve been mtpocted by this Department otr~er ~Cnc~s and teund to be ~ti~ac~r~. Chiefio~ureau of ~EALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ now or' pormo r SURVEY FOR ERNEST T~d/?MIN ~ MAT/LD,~ T~RMIN AT Ot~IENT TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK ~¢ UHAUTHORIZ~O A~.TIrRAT(ON OR ADDITION TO THiS SURV~[Y ~ A VIOLATION OF~ECTION 7209 OF THE YOUNG s YOUNG ALDEN W. YOUNG., PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO. 12845 HOWARO W. YOUNG, LAND SURVEYO~ N.Y.S. LICENSE NO.45893 /[ o oct: /~, /b87 JUNE £0, 1985 JUNE 14, 1908 OATE, ~ 14, 19P4 SCAL;: /" ~ P~ ' ~o. 84 - 233 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK 11. c¢) i E L E',//\T lop-j_ iJ r 'i I1¸ 4¸, I r~ / ,¢'""¢ °I, ,i' 1 FAMI L:'~ Bid L~N~U, ICJ.,. , ,0 iX' x~ ,/ APPRC~.D AS NOT~:D If copper tulbing is used ~_*- ,, for water cdistributing 1. FOUNDATION _ TWO REOUIRED FOR POURr-D CONCRETE 2, ROUGH- FRAMIN~ ,~ PLHMBING 3 INgUEATIOF[ %,: I J i NEU YORK STATE DEPAP. T~I~T OF E~4VIP. ON!.~NTAL CONSERVATIO[~ A ravfe~ has beer made of your proposal to: -- parcel ~ proJea~ to be: greater than 100' i~ length constructed p~or to Septe~er 20, 19~7. ~erefore, no pe~t under Article 25 (Tidal Wet%ands of the Conservation Law) Is req~red at this time since the current proposal is beyond